Potter, Eric C

Potter, Eric C is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Potter, Eric C can be contacted via phone (423) 857-2793.

Contact Information

Primary practice address
2033 Meadowview Ln Ste 200 Kingsport TN 37660-7569
Phone: (423) 857-2793
Fax: (423) 578-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36165 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36165 Tennessee

Profile Details

NPI number 1730180423
LBN Legal business name Potter, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730180423 NPPES
Other P00635228 RAILROAD MEDICARE
Other 4178280 RAILROAD MEDICARE
MEDICAID 38763541 RAILROAD MEDICARE
MEDICAID 4142480 RAILROAD MEDICARE
Other 7100046250 RAILROAD MEDICARE

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